Choroba hashimoto
Objawy

Choroba Hashimoto, będąca najczęstszą przyczyną niedoczynności tarczycy w krajach rozwiniętych, to przewlekłe autoimmunologiczne zapalenie tarczycy prowadzące do stopniowego uszkodzenia gruczołu i zmniejszenia produkcji hormonów tarczycy (FT3, FT4). Początkowo może przebiegać bezobjawowo lub z łagodnymi symptomami, takimi jak powiększenie tarczycy (wole), zmęczenie, zaburzenia nastroju, problemy z płodnością czy mgła mózgowa. W rzadkich przypadkach występuje hashitoksykoza – przejściowa nadczynność tarczycy objawiająca się m.in. kołataniem serca, drżeniem rąk i nietolerancją ciepła. Postępujące uszkodzenie tarczycy prowadzi do jawnej niedoczynności z podwyższonym TSH i obniżonymi FT3 oraz FT4, manifestującej się zmęczeniem, przyrostem masy ciała, bradykardią, suchością skóry, wypadaniem włosów, zaparciami, zaburzeniami miesiączkowania i depresją. Choroba przebiega etapowo: od eutyreozy z obecnością przeciwciał, przez subkliniczną niedoczynność, aż do zaawansowanej niedoczynności wymagającej dożywotniej terapii lewotyroksyną.

Objawy choroby Hashimoto

Choroba Hashimoto (autoimmunologiczne zapalenie tarczycy) to najczęstsza przyczyna niedoczynności tarczycy w krajach rozwiniętych. Jest to przewlekła choroba autoimmunologiczna, w której układ odpornościowy błędnie atakuje tkankę tarczycy, powodując jej stopniowe uszkodzenie i zmniejszenie produkcji hormonów tarczycy. Choroba zwykle postępuje powoli, a jej objawy mogą pozostawać niezauważalne przez wiele lat.123

Wczesne objawy choroby Hashimoto

We wczesnym stadium choroby Hashimoto wiele osób może nie wykazywać żadnych objawów lub doświadczać jedynie łagodnych dolegliwości. Pierwszym widocznym objawem często jest powiększenie tarczycy, zwane wolem (goiter). Powiększona tarczyca może być widoczna jako obrzęk w dolnej przedniej części szyi, powodując uczucie pełności w gardle, trudności w przełykaniu lub oddychaniu.123

Już na wczesnym etapie choroby, pomimo normalnych wyników badań hormonalnych, niektóre osoby mogą doświadczać:12

  • Zmęczenia i obniżonej energii
  • Problemów z nastrojem i zmian nastroju
  • Trudności z zajściem w ciążę lub problemów z płodnością
  • Mgły mózgowej (zaburzeń poznawczych)
  • Zmian wagi (przyrost lub utrata)

W rzadkich przypadkach, na wczesnym etapie choroby, uszkodzenie tarczycy może prowadzić do uwolnienia nadmiarowych ilości hormonów tarczycy do krwiobiegu, powodując przejściowe objawy nadczynności tarczycy, takie jak:123

  • Niepokój i drażliwość
  • Kołatanie serca lub przyspieszony rytm serca
  • Pocenie się
  • Nieplanowana utrata wagi
  • Drżenie rąk
  • Nietolerancja ciepła

To przejściowe zjawisko, zwane hashitoksykozą, nie występuje u wszystkich pacjentów i zwykle ustępuje, gdy choroba postępuje w kierunku niedoczynności tarczycy.12

Rozwinięta choroba Hashimoto i niedoczynność tarczycy

Z czasem postępujące uszkodzenie tarczycy prowadzi do zmniejszenia produkcji hormonów tarczycy i rozwoju niedoczynności tarczycy. Na tym etapie objawy stają się bardziej wyraźne i mogą obejmować:123

  • Zmęczenie i osłabienie – przewlekłe uczucie wyczerpania, zwiększona senność i brak energii, które nie ustępują po odpoczynku
  • Przyrost masy ciała – mimo braku zmian w diecie lub aktywności fizycznej
  • Zwiększona wrażliwość na zimno – uczucie zimna nawet w ciepłych pomieszczeniach
  • Suchość i bladość skóry – skóra staje się sucha, szorstka, może pojawić się łuszczenie
  • Zmiany w obrębie włosów i paznokci – włosy stają się suche, łamliwe, wypadanie włosów, utrata zewnętrznej 1/3 brwi, łamliwe paznokcie
  • Obrzęk twarzy – opuchnięta twarz, szczególnie w okolicy oczu
  • Zaparcia – spowolniona perystaltyka jelit
  • Bóle mięśni i stawów – osłabienie mięśni, skurcze, sztywność stawów
  • Spowolniony rytm serca (bradykardia)
  • Zaburzenia miesiączkowania – obfite lub nieregularne krwawienia miesiączkowe
  • Problemy z pamięcią i koncentracją – tzw. „mgła mózgowa”
  • Depresja i zmiany nastroju
  • Obniżone libido (popęd seksualny)

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Progresja choroby Hashimoto

Choroba Hashimoto zazwyczaj postępuje powoli przez wiele lat. Można wyróżnić kilka etapów jej rozwoju:12

  1. Etap wczesny – obecność przeciwciał przeciwtarczycowych, przy prawidłowej funkcji tarczycy (eutyreoza)
  2. Subkliniczna niedoczynność tarczycy – podwyższony poziom TSH, ale prawidłowe poziomy hormonów tarczycy (FT3 i FT4); niektórzy pacjenci mogą nie mieć objawów, podczas gdy inni zaczynają doświadczać pierwszych symptomów niedoczynności
  3. Jawna niedoczynność tarczycy – podwyższony poziom TSH i obniżone poziomy hormonów tarczycy FT4 i FT3; na tym etapie pacjenci zazwyczaj doświadczają pełnego spektrum objawów
  4. Zaawansowana choroba Hashimoto – znaczne uszkodzenie tarczycy, prowadzące do zaniku gruczołu i trwałej niedoczynności tarczycy wymagającej dożywotniej suplementacji hormonów

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Tempo progresji choroby jest indywidualne – u niektórych osób proces może przebiegać szybciej, podczas gdy u innych choroba może pozostawać stabilna przez wiele lat bez konieczności zwiększania dawki hormonu lub zmiany strategii leczenia.12

Zaostrzenia choroby Hashimoto

Osoby z chorobą Hashimoto mogą doświadczać okresowych zaostrzeń objawów, znanych jako zaostrzenia (flare-ups). Są to okresy nasilenia i intensyfikacji objawów spowodowane dodatkowym stresorem działającym na układ odpornościowy.123

Objawy zaostrzeń mogą obejmować:12

  • Nasilone zmęczenie
  • Zwiększoną nietolerancję zimna
  • Zaparcia
  • Suchość skóry
  • Obrzęk twarzy
  • Bóle mięśni
  • Nasilenie „mgły mózgowej”
  • Bezsenność
  • Obniżony nastrój lub depresję
  • Nieregularne lub obfite miesiączki
  • Powiększoną tarczycę

W niektórych przypadkach, zaostrzenie choroby Hashimoto może przejściowo wprowadzić organizm w stan nadczynności tarczycy, powodując takie objawy jak: zmęczenie, nietolerancja ciepła, drażliwość, przyspieszony rytm serca, problemy ze snem i niepokój.12

Powikłania nieleczonej choroby Hashimoto

Nieleczona lub niedostatecznie leczona choroba Hashimoto prowadząca do niedoczynności tarczycy może z czasem powodować poważne powikłania zdrowotne, takie jak:1234

  • Choroby serca – podwyższony poziom cholesterolu, nadciśnienie tętnicze, choroba wieńcowa, niewydolność serca
  • Powiększenie tarczycy (wole) – które może utrudniać przełykanie lub oddychanie
  • Zaburzenia psychiczne – depresja, zaburzenia funkcji poznawczych
  • Problemy z płodnością – u kobiet i mężczyzn
  • Powikłania położnicze – poronienia, porody przedwczesne, wady wrodzone u dziecka
  • Śpiączka hipometaboliczna (myxedema coma) – rzadkie, ale zagrażające życiu powikłanie ciężkiej nieleczonej niedoczynności tarczycy, charakteryzujące się głęboką sennością, letargiem i utratą przytomności; wymaga natychmiastowego leczenia

123

Ponadto, osoby z chorobą Hashimoto są bardziej narażone na rozwój innych chorób autoimmunologicznych, takich jak: celiakia, łuszczyca, zespół Sjögrena, reumatoidalne zapalenie stawów, toczeń, stwardnienie rozsiane i inne.1

Choroba Hashimoto a ciąża

Choroba Hashimoto może wpływać na płodność i przebieg ciąży. Nieregularne cykle miesiączkowe występujące przy niedoczynności tarczycy mogą utrudnić zajście w ciążę. Badania wykazują, że prawie połowa kobiet z niedoczynnością tarczycy spowodowaną chorobą Hashimoto miała problemy z zajściem w ciążę.12

Nieleczona lub niedostatecznie leczona niedoczynność tarczycy podczas ciąży może prowadzić do:123

  • Poronień
  • Wad wrodzonych
  • Porodu przedwczesnego
  • Problemów z rozwojem dziecka

Objawy ciąży, takie jak zmęczenie i przyrost masy ciała, mogą maskować problemy z tarczycą w czasie ciąży. Dlatego kobiety planujące ciążę lub będące w ciąży powinny skonsultować się z lekarzem w celu kontroli funkcji tarczycy.1

U niektórych kobiet w pierwszym roku po porodzie może rozwinąć się poporodowe zapalenie tarczycy. Zazwyczaj zaczyna się od łagodnych objawów nadczynności tarczycy, które utrzymują się od dwóch do czterech miesięcy. Następnie u większości kobiet rozwijają się objawy niedoczynności tarczycy, które mogą trwać do roku i wymagają leczenia.12

Nietypowe prezentacje choroby Hashimoto

Choroba Hashimoto może czasami przebiegać w nietypowy sposób. Niektóre mniej typowe objawy i sytuacje kliniczne obejmują:123

  • Równoczesne występowanie choroby Hashimoto i choroby Gravesa – w rzadkich przypadkach obie choroby mogą współistnieć
  • Konwersja z choroby Hashimoto do choroby Gravesa – rzadka sytuacja, częściej obserwowana u dzieci
  • Ból tarczycy – choroba Hashimoto zwykle przebiega bezboleśnie, ale w rzadkich przypadkach może powodować długotrwały ból oporny na leczenie analgetykami
  • Neuropatia obwodowa – mrowienie i drętwienie w palcach i dłoniach
  • Łagodny niedosłuch nerwowy
  • Ataksja (zaburzenia koordynacji ruchowej)
  • Powiększenie języka

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Choroba Hashimoto u dzieci i młodzieży

Choroba Hashimoto może występować również u dzieci i młodzieży, choć rzadziej niż u dorosłych. U młodszych pacjentów objawy niedoczynności tarczycy mogą obejmować:123

  • Spowolniony wzrost
  • Opóźnione dojrzewanie płciowe
  • Zmęczenie
  • Trudności z koncentracją i problemy w nauce
  • Zaparcia
  • Suchą skórę
  • Wypadanie włosów
  • Nietolerancję zimna
  • Częste bóle głowy

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Najczęstszymi objawami choroby Hashimoto u dzieci i młodzieży mogą być spowolniony wzrost i nadmierny przyrost masy ciała, mimo zdrowego odżywiania.12

Podsumowanie progresji i objawów choroby Hashimoto

Choroba Hashimoto to przewlekła choroba autoimmunologiczna, która zwykle postępuje powoli przez wiele lat. Początkowo może przebiegać bezobjawowo lub z minimalnymi objawami, a pierwszym zauważalnym znakiem często jest powiększenie tarczycy (wole). Z czasem, w miarę postępującego uszkodzenia tarczycy, rozwija się niedoczynność tarczycy z charakterystycznymi objawami, takimi jak: zmęczenie, przyrost masy ciała, nietolerancja zimna, suchość skóry, wypadanie włosów, zaparcia, bóle mięśni i stawów oraz problemy z koncentracją.123

Choroba Hashimoto wymaga regularnego monitorowania i, w przypadku rozwoju niedoczynności tarczycy, dożywotniego leczenia hormonem tarczycy (lewotyroksyną). Przy odpowiednim leczeniu, rokowanie dla pacjentów z chorobą Hashimoto jest dobre, a objawy niedoczynności tarczycy mogą być skutecznie kontrolowane.123

Warto jednak pamiętać, że choroba Hashimoto, jako choroba autoimmunologiczna, może zwiększać ryzyko rozwoju innych chorób autoimmunologicznych, dlatego pacjenci powinni pozostawać pod stałą opieką lekarską i zgłaszać wszelkie nowe lub nasilające się objawy.12

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Hashimoto’s Disease: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17665-hashimotos-disease
    One of the early signs of Hashimotos disease is an enlarged thyroid (goiter). […] As the condition slowly progresses, your thyroid gland will sometimes become enlarged (a condition called goiter). Goiter is a common first sign of Hashimotos disease. […] If Hashimotos disease leads to hypothyroidism, it can cause the following symptoms over time: Tiredness (fatigue), lethargy and excessive sleeping. Mild weight gain. Constipation. Dry skin. Feeling cold. Slower-than-normal heart rate (bradycardia). Joint stiffness and muscle pain. Dry, brittle hair; slow hair growth; or hair loss. Low or depressed mood. Puffy eyes and face. Memory problems or difficulty concentrating. Heavy or irregular periods. Decreased libido (sex drive). Female infertility or male infertility. […] You might not feel different if you have Hashimotos disease without hypothyroidism.
  • #1 The 5 Stages of Hashimoto’s Thyroiditis – Dr. Izabella Wentz
    https://thyroidpharmacist.com/articles/5-stages-hashimotos-thyroiditis/
    In this early stage of Hashimotos, a person will usually have elevated thyroid antibodies. Up to 80-90 percent may show an elevation of thyroid antibodies in blood, when tested for thyroglobulin and thyroid peroxidase antibodies, respectively. […] Even in this stage, people may experience symptoms such as anxiety, fatigue, miscarriage/infertility, mood swings, excess weight, or weight loss, because their body is fighting hard to keep their thyroid levels normal, and this can be exhausting and draining on the usual body functions and nutrients. […] Sadly, at this stage, most patients are not diagnosed with Hashimotos by conventional medicine. […] The third stage of Hashimotos is known as subclinical hypothyroidism. […] In the world of conventional medicine, this stage is controversial in terms of treatment. Doctors may take a wait and watch approach, but if nothing is done, this is the stage where one would begin to experience more symptoms that will eventually progress to overt hypothyroidism.
  • #1 Hashimoto’s Disease – NIDDK
    https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease
    Many people with Hashimotos disease have no symptoms at first. As the disease progresses, you may have one or more of the symptoms of hypothyroidism. […] Some common symptoms of hypothyroidism include fatigue, weight gain, trouble tolerating cold, joint and muscle pain, constipation, dry skin or dry, thinning hair, heavy or irregular menstrual periods or fertility problems, slowed heart rate. […] Hashimotos disease causes your thyroid to become damaged. Most people with Hashimotos disease develop hypothyroidism. Rarely, early in the course of the disease, thyroid damage may lead to the release of too much thyroid hormone into your blood, causing symptoms of hyperthyroidism. […] Your thyroid may get larger and cause the front of the neck to look swollen. The enlarged thyroid, called a goiter, may create a feeling of fullness in your throat, though it is usually not painful. After many years, or even decades, damage to the thyroid may cause the gland to shrink and the goiter to disappear.
  • #1 Hashimoto Thyroiditis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459262/
    A small proportion of individuals with Hashimoto thyroiditis present with hyperthyroidism. This condition is known as Hashitoxicosis. This likely occurs due to the destruction of the follicular cells, leading to leakage of prestored thyroid hormones into the bloodstream. This hyperthyroid is usually transient. […] A majority of individuals with Hashimoto thyroiditis are euthyroid with normal thyroid function tests. About 20% to 30% of individuals with Hashimoto thyroiditis develop hypothyroidism. […] These individuals present with symptoms of hypothyroidism, a TSH of more than 10 mIU/L, or low T4 and T3 levels. Usual symptoms include fatigue, unintentional weight gain, cold intolerance, constipation, changes in menstrual cycles (typically heavy menstruation), hair loss, brittle nails, confusion, and brain fog. Individuals might notice puffiness around the eyes, ankle swelling, voice changes, muscle aches/weakness, neuropathy, and joint aches. […] Many individuals with Hashimoto thyroiditis are euthyroid, but they are at a higher risk for developing overt hypothyroidism in the future. The risk of developing hypothyroidism increases by 5% every year.
  • #1 Hashimoto’s disease – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hashimotos-disease/symptoms-causes/syc-20351855
    Hashimoto’s disease progresses slowly over the years. You may not notice signs or symptoms of the disease. Eventually, the decline in thyroid hormone production can result in any of the following: […] Fatigue and sluggishness […] Increased sensitivity to cold […] Increased sleepiness […] Dry skin […] Constipation […] Muscle weakness […] Muscle aches, tenderness and stiffness […] Joint pain and stiffness […] Irregular or excessive menstrual bleeding […] Depression […] Problems with memory or concentration […] Swelling of the thyroid (goiter) […] A puffy face […] Brittle nails […] Hair loss […] Enlargement of the tongue.
  • #1 Hashimoto’s Symptoms and Complications
    https://www.verywellhealth.com/hashimotos-disease-symptoms-3976273
    Though many people with Hashimoto’s have no obvious symptoms in the early stages, some may experience mild swelling at the front of the throat (goiter) caused by the direct inflammation of the gland. […] Hashimoto’s disease typically worsens slowly over many years and causes progressive damage to the thyroid gland, leading to a decline in the production of key thyroid hormones. […] Hashimoto’s eventually may cause the typical symptoms of hypothyroidism. The most common include fatigue, increased sensitivity to cold, constipation, pale and dry skin, a puffy face, brittle nails, hair loss (alopecia), enlargement of the tongue, unexplained weight gain despite no change in your diet, muscle aches (myalgia), joint pain (arthralgia), muscle weakness, heavy menstrual bleeding (previously called menorrhagia), irregular menstruation (oligomenorrhea), depression, lapses in memory („brain fog”), low sex drive, and growth delay in children.
  • #1 The 5 Stages of Hashimoto’s Thyroiditis – Dr. Izabella Wentz
    https://thyroidpharmacist.com/articles/5-stages-hashimotos-thyroiditis/
    Hashimotos thyroiditis is an autoimmune condition that happens to affect the thyroid gland. This means that our immune system recognizes the thyroid gland as a foreign invader and begins to attack it, eventually leading to the destruction of our thyroid tissue. When this destruction goes on long enough, the person will lose their ability to produce thyroid hormone. […] Hashimotos is a progressive autoimmune condition that results in the destruction of the thyroid gland and leads to hypothyroidism and in some cases, to other types of autoimmune conditions as well. […] The longer this immune response is in place, the more thyroid damage occurs and the greater the likelihood of the person progressing to hypothyroidism, where the thyroid gland becomes so damaged that it is no longer able to make enough thyroid hormone.
  • #1 Which Stage of Hashimoto’s Are You In? | Paloma Health
    https://www.palomahealth.com/learn/stage-hashimotos?srsltid=AfmBOorx3c4JOJcOF6ZuA1bFjTEMp3IUQodOXe3XYNiPLGtEUC7X-txa
    Hashimotos thyroiditis is a common autoimmune condition that affects your thyroid gland, leading to various symptoms and potential complications. Hashimotos is also the most common cause of hypothyroidism in the United States. Understanding the different stages of Hashimotos can be crucial for effective management and treatment. By recognizing the signs and symptoms associated with each stage, you can work closely with your healthcare providers to optimize your care and improve your quality of life. […] This occurs on a small scale, and some people wont feel any symptoms. Others may have various symptoms, including fatigue, brain fog, mood changes, and weight gain. […] With subclinical hypothyroidism, Some people at this stage are still asymptomatic. Others begin to experience hypothyroidism symptoms, including fatigue, brain fog, weight gain, hair loss, and cold sensitivity. You may also start to notice goiter (swelling of the thyroid gland.)
  • #1 How Long To Develop Hypothyroidism after a Hashimotos Diagnosis | Paloma Health
    https://www.palomahealth.com/learn/development-hypothyroidism-hashimotos-diagnosis?srsltid=AfmBOoqQ2e5K3kXXNuZ8ZAn7xkhz2_Gg0vDxfQZA5z8M5lft5yK_LNX9
    As your thyroid function continues to decline, your thyroid function moves from subclinical to overt hypothyroidism. Overt hypothyroidism means you have officially entered hypothyroidism. This means your thyroid no longer produces enough thyroid hormone to meet your bodys needs. […] Symptoms are generally more severe in this stage than in subclinical hypothyroidism. Besides the symptoms above, you may also have: Mood changes, Slower heart rate, Fertility issues, Memory impairment. […] The time of progression from Hashimotos to overt hypothyroidism varies from person to person. There isnt a fixed timeline for how fast someone may move from one stage to another. Early stages of Hashimotos may not show noticeable symptoms. This makes it challenging to pinpoint when the condition initially developed. […] Some move quickly and develop symptoms and overt hypothyroidism within months of a Hashimotos diagnosis. Others live with Hashmotos for years, even decades, before developing hypothyroidism.
  • #1 What are the Symptoms of Hashimoto’s Thyroiditis Flare Ups? – Baptist Health
    https://www.baptisthealth.com/blog/family-health/what-are-the-symptoms-of-hashimoto-s-thyroiditis-flare-ups
    Hashimotos Thyroiditis is an autoimmune disorder that affects the thyroid and can lead to hypothyroidism. The symptoms of a Hashimotos flare-up can vary from person to person and people with the disease can experience changes in their symptoms over time. […] A Hashimotos flare-up is a period of worsening and intense symptoms due to an added stressor on your immune system. Because these flare-ups can be different in different people, they can present themselves as numerous symptoms with moderate intensity, or fewer symptoms with high intensity. […] While symptoms can vary, there are many reported signs of a Hashimotos flare-up, including: Fatigue, Cold intolerance, Constipation, Dry skin, Puffy face, Muscle aches, Brain fog, Insomnia, Low mood or depression, Irregular or heavy periods, Enlarged thyroid gland (goiter).
  • #1 What are the Symptoms of Hashimoto’s Thyroiditis Flare Ups? – Baptist Health
    https://www.baptisthealth.com/blog/family-health/what-are-the-symptoms-of-hashimoto-s-thyroiditis-flare-ups
    Its also important to note that a Hashimotos flare-up can cause your body to go into a hyperthyroid state, which means your thyroid is overactive. If this happens, you can experience symptoms of hyperthyroidism, including: Fatigue, Heat intolerance, Irritability, Rapid heartbeat, Sleep problems, Anxiety. […] Treating and managing your Hashimotos flare-ups is possible, but it means that youll have to make some lifestyle changes. […] Youll want to establish yourself with an endocrinologist to help treat this is autoimmune disease. if left untreated, hypothyroidism caused by Hashimoto disease can lead to serious complications to include Goiter, which can interfere with swallowing or breathing or even heart failure.
  • #1 Hashimoto’s Disease: What It Is, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17665-hashimotos-disease
    However, if you develop hypothyroidism, it can make you feel off. […] Hypothyroidism can also slow down your mood you may feel sad or depressed. […] If you have high antibody levels but dont have clinical hypothyroidism, your healthcare provider will likely monitor your thyroid levels instead of starting treatment. […] If Hashimotos disease leads to hypothyroidism, the go-to treatment is a medication called levothyroxine. […] With lifelong monitoring and treatment, the prognosis (outlook) for people with Hashimotos disease is excellent. […] If you have hypothyroidism from Hashimotos disease thats untreated, it can lead to certain health problems, including: High cholesterol. Heart disease and heart failure. High blood pressure. Depression. Myxedema coma. This is a rare complication of severe hypothyroidism. Your bodys functions slow down so much that it can be deadly. […] Hypothyroidism during pregnancy isnt common. But it can be easy to miss its symptoms that are also common during pregnancy, like fatigue and weight gain.
  • #1 Hashimoto’s thyroiditis: Symptoms, causes, and diagnosis
    https://www.medicalnewstoday.com/articles/266780
    Without treatment, Hashimotos thyroiditis can lead to a number of complications. These include: high cholesterol, infertility, pregnancy loss, abnormalities present at birth. […] Moreover, without treatment, severe Hashimotos thyroiditis can result in heart failure, seizures, or a coma, and it can be fatal.
  • #1 The 5 Stages of Hashimoto’s Thyroiditis – Dr. Izabella Wentz
    https://thyroidpharmacist.com/articles/5-stages-hashimotos-thyroiditis/
    At this stage, the person has started to have thyroid gland failure. Their thyroid gland will be destroyed to the point where they will no longer be able to make their own thyroid hormone. […] Having Hashimotos puts a person at greater risk for developing other autoimmune conditions like celiac disease, psoriasis, Sjogrens, rheumatoid arthritis, lupus, multiple sclerosis, and many others. […] This is a progression of the autoimmune response as the immune system continues to be imbalanced, it may find additional glands and body tissues to attack, such as the small intestine in celiac disease, the saliva and tear glands in Sjogrens, and the joints in rheumatoid arthritis. […] However, they will only address the symptoms and not the root causes of the autoimmune disorder. […] It’s important to note here that autoimmune conditions do not always start with Hashimotos. It is thought that the first organ that becomes susceptible to autoimmune damage is the weakest link, where the person has a genetic predisposition or the organ has become damaged. […] Hashimotos is the most common autoimmune condition, but the thyroid gland is not always the weakest link for everyone. A person may start off with a different autoimmune condition, like celiac disease, and then progress to Hashimotos.
  • #1 Hashimoto’s disease
    https://womenshealth.gov/a-z-topics/hashimotos-disease
    Hashimoto’s disease, or Hashimoto’s thyroiditis, is an autoimmune disease that damages the thyroid gland. […] Symptoms of hypothyroidism include fatigue, weight gain, depression, and joint pain. […] The first sign is often an enlarged thyroid, called a goiter. The goiter may cause the front of your neck to look swollen. […] Hashimoto’s disease often leads to an underactive thyroid gland (hypothyroidism). Symptoms of an underactive thyroid include feeling tired, feeling cold when others do not, constipation, weight gain, and heavier-than-normal menstrual periods. […] Irregular menstrual cycles can make it harder for women with Hashimoto’s to get pregnant. […] Studies show that almost half of women with hypothyroidism due to Hashimoto’s disease had problems getting pregnant. […] Untreated or poorly treated hypothyroidism can lead to problems during pregnancy, such as miscarriage, birth defects, or other problems.
  • #1 Hashimoto’s disease
    https://womenshealth.gov/a-z-topics/hashimotos-disease
    Symptoms of normal pregnancy, like fatigue and weight gain, can make it easy to overlook thyroid problems in pregnancy. […] Some women develop thyroid problems in the first year after giving birth. This is called postpartum thyroiditis. It often begins with mild symptoms of an overactive thyroid, which last two to four months. Most women then develop symptoms of an underactive thyroid, which can last up to a year and requires treatment.
  • #1 Hashimoto’s Thyroiditis (Hashimoto’s Disease) | Doctor
    https://patient.info/doctor/hashimotos-thyroiditis
    Symptoms of Hashimotos thyroiditis (presentation) […] The thyroid gland may enlarge rapidly: […] Occasionally it is associated with dyspnoea or dysphagia from pressure on structures in the neck, or with mild pain and tenderness. […] Rarely, pain is persistent and unresponsive to analgesics and requires medical therapy or surgery. […] The goitre of Hashimoto’s thyroiditis may remain unchanged for decades but usually it gradually increases in size. […] Occasionally the course is marked by symptoms of mild thyrotoxicosis, especially during the early phase of the disease. […] Symptoms and signs of hypothyroidism may be present when first seen, or commonly develop over a period of several years. These may include: […] Fatigue, constipation, dry skin and weight gain. […] Cold intolerance.
  • #1 Hashimotos’ Thyroiditis | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/hashimotos-thyroiditis
    Hypothyroidism can affect many parts of the body and can result in many different symptoms. Some can be very subtle, and some are not very specific. These are the most common: […] fatigue (feeling tired) […] hair loss […] dry skin […] constipation […] enlarged thyroid gland […] slow height growth […] increased sensitivity to cold […] frequent headaches […] trouble swallowing […] brittle nails […] unexplained weight gain (mild) […] puffy face […] depression […] heavy or irregular menstrual cycles (periods) […] memory problems.
  • #1 Pediatric thyroiditis (Hashimoto’s disease) – Children’s Health Endocrinology
    https://www.childrens.com/specialties-services/conditions/thyroiditis
    Thyroiditis, also known as Hashimotos disease, is an autoimmune disorder – a disease in which the immune system attacks healthy organs or tissue (in this case, the thyroid). It is a major cause of hypothyroidism in children and adolescents. […] The symptoms of thyroiditis will vary from child to child, but may include: Fatigue, Unexplained weight gain, Constipation, Dry skin, Goiter (enlarged thyroid), Joint and muscle pain, Puffiness in the face, Heavy or prolonged menstrual periods, Increased sensitivity to cold, Depression. […] The treatment of choice for thyroiditis is thyroid replacement therapy pills.
  • #1 Become a member
    https://www.btf-thyroid.org/hashimotos-thyroiditis
    The most obvious symptoms of Hashimotos thyroiditis in children and young people can be slow growth and gaining too much weight even though they are eating healthily. […] There is a long list of symptoms and signs associated with hypothyroidism although not everyone will have all of them. These include: feeling tired and sleepy all the time, finding it hard to concentrate, feeling cold even in a warm place, dry and coarse hair, dry and thinning hair, a hoarse or croaky voice, muscle weakness, cramps and aches, pins and needles in the fingers and hands, a puffy face and bags under the eyes, slow speech, movement and thoughts, slow mood or depression, memory problems, a slow heart beat, slightly raised blood pressure, raised cholesterol, constipation. […] Your childs symptoms should diminish and disappear within three to six months of starting treatment with levothyroxine. In some cases, it may take longer to find the right level. If symptoms return you should arrange to see your childs GP.
  • #1 Hashimoto’s Symptoms and Complications
    https://www.verywellhealth.com/hashimotos-disease-symptoms-3976273
    Hashimoto’s symptoms aren’t obvious in the early stages of the disease. People may live for years with Hashimoto’s disease (Hashimoto’s thyroiditis) before symptoms emerge that lead to a diagnosis. […] These common symptoms include fatigue, sensitivity to cold, hair loss, and constipation. The symptoms are consistent with hypothyroidism, or low thyroid function. But even when Hashimoto’s is already at work, symptoms go unnoticed until inflammation of the thyroid gland known as chronic lymphocytic thyroiditis advances. […] Hashimoto’s symptoms in the early stages may include fatigue and weight gain. This is because Hashimoto’s disease affects the thyroid gland’s ability to produce hormones that the body needs to maintain normal metabolism. It limits the ability to convert oxygen and calories into energy.
  • #2 Hashimoto’s Thyroiditis | American Thyroid Association
    https://www.thyroid.org/hashimotos-thyroiditis/
    Hashimotos thyroiditis often progresses very slowly over many years. You may not have any symptoms early on, even if thyroid antibodies are detected in your blood tests. […] In some cases, the inflammation can cause your thyroid gland to become bigger than normal (goiter), which may cause neck discomfort, pressure or difficulty swallowing. […] Your thyroid gland may become underactive causing your thyroid hormone levels to be low. […] Hypothyroidism can cause symptoms such as: feeling tired, abnormal weight gain, constipation, increased sensitivity to cold, dry skin, depression, muscle aches, difficulty exercising, irregular or heavy menstrual periods, slower increase in height in children.
  • #2 Hashimoto Thyroiditis | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/hashimoto-thyroiditis
    Autoimmune thyroiditis develops slowly and often causes no symptoms early on, especially if thyroid hormone levels remain normal. […] Enlargement of the thyroid gland (also known as a goiter) can be caused by the inflammation in the thyroid. This enlargement sometimes can be visible or cause discomfort or difficulty swallowing. […] If hypothyroidism (underactive thyroid) occurs, other symptoms may include: Fatigue, Constipation, Dry skin, Feeling cold, Irregular or heavy menstrual periods, Slowed growth, Hair loss, Weight gain.
  • #2 Which Stage of Hashimoto’s Are You In? | Paloma Health
    https://www.palomahealth.com/learn/stage-hashimotos?srsltid=AfmBOorx3c4JOJcOF6ZuA1bFjTEMp3IUQodOXe3XYNiPLGtEUC7X-txa
    Hashimotos thyroiditis is a common autoimmune condition that affects your thyroid gland, leading to various symptoms and potential complications. Hashimotos is also the most common cause of hypothyroidism in the United States. Understanding the different stages of Hashimotos can be crucial for effective management and treatment. By recognizing the signs and symptoms associated with each stage, you can work closely with your healthcare providers to optimize your care and improve your quality of life. […] This occurs on a small scale, and some people wont feel any symptoms. Others may have various symptoms, including fatigue, brain fog, mood changes, and weight gain. […] With subclinical hypothyroidism, Some people at this stage are still asymptomatic. Others begin to experience hypothyroidism symptoms, including fatigue, brain fog, weight gain, hair loss, and cold sensitivity. You may also start to notice goiter (swelling of the thyroid gland.)
  • #2 Hashimoto’s Disease: Symptoms, Causes, and Treatment
    https://www.verywellhealth.com/hashimotos-disease-7485191
    In some people, early Hashimotos disease makes the thyroid gland temporarily release too much thyroid hormone into the bloodstream (thyrotoxicosis). This is a response to the immune systems attack called hashitoxicosis. Symptoms can include: Impaired heat tolerance, Rapid heart rate, Sweating, Unintended weight loss, Tremors, Anxiety. Eventually, the thyroid will produce less hormone, and the symptoms will change. […] Symptoms of autoimmunity tend to flare up from time to time rather than being constant. […] If HD isnt treated, it can lead to serious complications. These include: Heart problems, Slowed mental function, Loss of sexual desire, Congenital disabilities, Myxedema coma (altered mental state, inability to maintain a normal body temperature, and multiple organs slowing down), Thyroid cancer (rare).
  • #2 Hashimoto’s Thyroiditis Signs & Symptoms | Allara Health
    https://www.allarahealth.com/blog/hashimotos-symptoms
    There are quite a few since your thyroid gland manages many different processes in your body. […] Fatigue is a common symptom of Hashimoto’s. When the thyroid gland doesnt produce enough hormones, it can slow your metabolism, making you feel sluggish and tired. […] Like fatigue, changes in appetite and weight, specifically weight gain, are common symptoms of Hashimotos and are related to a slower metabolism. […] Hashimoto’s full signs and symptoms vary widely and will not be the same from person to person. […] Understanding how cold weather affects your thyroid function boils down to one key process: CIT, or cold-induced thermogenesis. […] The hormones produced by your thyroid gland affect virtually every system in your body, including the health of your hair, skin and nails. […] If you notice any symptoms we discussed, speak with your healthcare provider. […] If you do have Hashimotos, there are treatment options, such as medication. […] A diet rich in vitamin D, magnesium and dietary fiber can support overall thyroid health.
  • #2 Chronic thyroiditis (Hashimoto disease): MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000371.htm
    Chronic thyroiditis is caused by a reaction of the immune system against the thyroid gland. It often results in reduced thyroid function (hypothyroidism). […] Hashimoto disease is a common thyroid gland disorder. It can occur at any age, but is most often seen in middle-aged women. It is caused by a reaction of the immune system against the thyroid gland. The disease begins slowly. It may take months or even years for the condition to be detected and for thyroid hormone levels to become lower than normal. […] Symptoms of Hashimoto disease may include any of the following: Constipation, Difficulty concentrating or thinking, Dry skin, Enlarged neck or presence of a goiter, which may be the only early symptom, Fatigue, Hair loss, Heavy or irregular menstrual periods, Intolerance to cold, Mild weight gain, Mood changes, Small or shrunken thyroid gland (late in the disease). […] The disease stays stable for years. If it does slowly progress to thyroid hormone deficiency (hypothyroidism), it can be treated with hormone replacement therapy.
  • #2 Hashimoto’s Disease: Symptoms, Causes and Treatment | MedPark Hospital
    https://www.medparkhospital.com/en-US/disease-and-treatment/hashimotos-disease
    The signs and symptoms of Hashimotos disease may not be noticed at the beginning. However, people with the disease may notice a swelling at the front of the throat or goiter. This inflammatory disease generally develops slowly over time and causes chronic damage to the thyroid. This leads to a decrease in hormone levels in the blood. […] The other signs and symptoms of Hashimotos disease may also include: Joint pain and stiffness, Muscle aches, tenderness, and stiffness, Muscle weakness, Pale and dry skin, Fatigue and sluggishness, Gaining sensitivity to cold, Constipation, A puffy face, Brittle nails, Hair loss, Enlargement of the tongue, Unexplained weight gain, Excessive or prolonged menstrual bleeding, Memory lapses, Depression. […] Hashimotos disease may cause other health problems including: Goiter. The inflamed thyroid gland is enlarged and commonly causes an enlarged goiter which may affect swallowing or breathing. The risk of heart disease is increased due to high levels of low-density lipoprotein (LDL) cholesterol. This may cause an enlarged heart and heart failure. People with Hashimotos disease may have depression that might become severe over time. Other mental issues such as an increased sexual desire (libido) may occur in some cases.
  • #2 How Long To Develop Hypothyroidism after a Hashimotos Diagnosis | Paloma Health
    https://www.palomahealth.com/learn/development-hypothyroidism-hashimotos-diagnosis?srsltid=AfmBOoqQ2e5K3kXXNuZ8ZAn7xkhz2_Gg0vDxfQZA5z8M5lft5yK_LNX9
    Hashimotos is a common autoimmune disorder that affects the thyroid gland. It occurs when the immune system attacks your healthy thyroid cells. And the more healthy thyroid cells your immune system destroys, the worse your thyroid gland function becomes over time. […] Hashimotos progresses through several key stages. Lets look at these stages to help you better understand what to expect. […] At this point, you may still have normal thyroid function (euthyroid), and its making enough thyroid hormone to meet the bodys needs. But your immune system is starting to produce antibodies that attack your thyroid gland. The presence of thyroid antibodies makes a diagnosis of Hashimotos thyroiditis very likely. […] Your thyroid function will slowly decline due to the ongoing attack on your thyroid. In this stage, you may notice symptoms of an underactive thyroid (hypothyroidism). Symptoms are often non-specific, such as: Bloating, Cold intolerance, Constipation, Dry skin, Hair loss, Muscle weakness, Weight gain.
  • #2 Which Stage of Hashimoto’s Are You In? | Paloma Health
    https://www.palomahealth.com/learn/stage-hashimotos?srsltid=AfmBOorx3c4JOJcOF6ZuA1bFjTEMp3IUQodOXe3XYNiPLGtEUC7X-txa
    Typically, the TSH level will become elevated or high-normal, and Free T4 and Free T3 levels are at the low end of the range or below normal. […] Its crucial to have enough thyroid hormones for essential bodily functions such as metabolism, brain function, and body temperature regulation. This is why, at this stage, many patients experience a full range of hypothyroidism symptoms. You will likely start feeling increasingly tired and begin experiencing many other symptoms with increasing frequency and intensity. […] The end stage of Hashimotos is when your thyroid has become so irreversibly damaged that the gland atrophies and shrinks and becomes unable to produce thyroid hormone. […] Not everyone with Hashimotos reaches this stage, but if you do, it means that you will rely on life-long thyroid hormone replacement medication.
  • #2 Hashimoto’s Disease: Symptoms, Causes, and Treatment
    https://www.verywellhealth.com/hashimotos-disease-7485191
    Low thyroid hormone levels can lead to mental and emotional disorders. These can include: Anxiety, Depression, Difficulty concentrating, Irritability, Memory problems, Mood swings. […] Hashimotos disease is a lifelong illness, and the prognosis for most people is good. HD can stay stable for many years, with no necessary increase in medication or management strategies. Its easily treatable with long-established medications and doesnt shorten your life expectancy. The earlier Hashimotos disease is diagnosed, the better your long-term outlook is.
  • #2 Symptoms of a Hashimoto’s Flare-Up: Plus Causes & Treatment
    https://www.healthline.com/health/symptoms-of-hashimotos-flare-up
    When Hashimotos thyroiditis flares up, you may begin to feel some of the symptoms of hypothyroidism. These can include things like: fatigue, aches and pains in your muscles and joints, constipation, unexplained weight gain, skin thats pale and dry, enlarged thyroid (goiter), sensitivity to cold, hair thats dry or brittle, hair loss, brittle nails, muscle weakness, slow heart rate (bradycardia), problems with memory, depression, irregular or heavy menstrual periods. […] Hashimotos thyroiditis that causes hypothyroidism is treated with a medication called levothyroxine. This is a synthetic version of thyroid hormone that helps replace the hormones that your thyroid isnt producing. […] There are some factors, including specific foods, nutrients, or medications, that can impact the effectiveness of levothyroxine. This can lead to a flare-up where you experience symptoms of hypothyroidism.
  • #2 Hashimoto’s Disease: Symptoms, Flare-Ups & Treatment
    https://maxwellclinic.com/hashimotos-treatment-options/
    Hashimoto’s disease is one of the most common autoimmune disorders, affecting millions of people—predominantly women. If you’ve been diagnosed with Hashimoto’s thyroiditis, you may have already experienced the unpredictable ups and downs that come with the condition. You may feel fine one day, only to wake up the next feeling exhausted, foggy-headed, and unable to shake the cold creeping through your body. These fluctuations often signal a Hashimoto’s flare-up—a period when the immune system attacks the thyroid, disrupting normal function and worsening symptoms. […] A Hashimoto’s attack—or flare-up—occurs when the immune system aggressively targets the thyroid, leading to an increase in inflammation and a worsening of symptoms. […] Common Symptoms of a Hashimoto’s Flare-Up: Extreme Fatigue: A deep, unrelenting exhaustion that rest doesn’t seem to improve. Cold Sensitivity: Feeling cold even in warm environments, layering up when others are comfortable. Brain Fog: Trouble concentrating, memory lapses, and difficulty finding words. Digestive Issues: Constipation, bloating, and slow digestion. Muscle and Joint Pain: Stiffness, aching muscles, and joint discomfort. Unexplained Weight Gain: Even with no major changes in diet or activity. Low Mood or Depression: Increased feelings of sadness, anxiety, or mood swings. Dry Skin and Hair Loss: Brittle nails, dry patches, and thinning hair. Menstrual Irregularities: Heavy, irregular, or missed periods.
  • #2 Hashimoto’s Disease: Symptoms, Flare-Ups & Treatment
    https://maxwellclinic.com/hashimotos-treatment-options/
    In some cases, a Hashimoto’s attack may temporarily push the thyroid into an overactive state, leading to hyperthyroid symptoms such as: Heart Palpitations or Rapid Heart Rate, Sweating and Heat Intolerance, Restlessness, Anxiety, or Irritability, Unintentional Weight Loss. […] These symptoms occur as the thyroid releases stored hormones into the bloodstream before the gland slows down again, reinforcing the unpredictable nature of Hashimoto’s.
  • #2 Hashimoto’s Thyroiditis & Hypothyroidism: Symptoms | Ada
    https://ada.com/conditions/hashimotos-thyroiditis-hypothyroidism/
    Hashimoto disease symptoms often only develop after a while, making it difficult to notice the condition in its early stages. Some possible Hashimoto symptoms are: Fatigue, Unexplained weight gain, Joint and muscle aches, Constipation, Cold and dry skin, Thinning hair, Brittle nails, Slow heart rate, Depression, Elevated blood pressure. […] Hashimoto disease symptoms in females can also include changes to your period and fertility issues. […] Another possible symptom of Hashimotos thyroiditis is the development of a goiter. This is an enlargement of your thyroid gland, which you may feel in the front of your neck and which may even be visible in some cases. This goiter sometimes goes away on its own after many years. […] If Hashimoto thyroid disease doesn’t get treated, there will eventually be damage to your thyroid gland that leads to the development of hypothyroidism. Without any treatment for hypothyroidism, you can develop several other conditions, such as: High cholesterol, Heart failure and heart disease, High blood pressure, Myxedema.
  • #2 Hashimoto’s thyroiditis – Autoimmune Association
    https://autoimmune.org/disease-information/hashimotos-thyroiditis/
    Hashimoto’s thyroiditis is a chronic inflammatory autoimmune thyroid disease in which the immune system attacks and destroys the thyroid gland. The thyroid then produces too little hormone and metabolism is slowed. […] Symptoms, which often develop gradually, may include weight gain, cold sensitivity, tingling in the hands and feet, fatigue, hair loss, dry hair, fertility problems, and difficulty concentrating. […] Low thyroid function can affect the development of the baby. Post-partum thyroiditis can develop in the 12 months following childbirth. Women who are having trouble conceiving should also have their thyroid levels checked as thyroid hormone levels can affect ovulation.
  • #2 Hashimoto’s Disease: Symptoms, Causes and Treatment | MedPark Hospital
    https://www.medparkhospital.com/en-US/disease-and-treatment/hashimotos-disease
    Untreated hypothyroid might lead to myxedema, a rare condition causing drowsiness which may be followed by profound lethargy and unconsciousness. People with myxedema may experience exposure to colds, sedatives, infection, or other problems as signs of the condition. At this stage, immediate emergency medical treatment is required. […] Babies born to women with untreated hypothyroidism tend to have more health problems than those born with a healthy mother. The health problems may include heart, brain, and kidney problems in infants. Women with the disease who are planning to get pregnant are highly recommended to consult the doctor for more details.
  • #2 Signs of thyroid issues: How do you know if you have them? | MD Anderson Cancer Center
    https://www.mdanderson.org/cancerwise/signs-of-thyroid-issues–hypothyroidism-hyperthyroidism-how-do-you-know-if-you-have-them.h00-159622590.html
    Subacute thyroiditis: This may include any of the following after a viral infection: pain or swelling in the neck, tremors, heart palpitations, a jittery feeling, a racing heart, and feeling tired but unable to sleep. […] Postpartum thyroiditis: This typically occurs in the first 12 months after delivery. It normally starts with hyper symptoms, then gradually goes to the other extreme. […] Usually, subacute and post-partum thyroiditis resolve on their own, says Iyer, so patients need only manage the symptoms. But if the abnormal labs persist beyond six months, contact your doctor.
  • #2 Hashimoto’s Thyroiditis (Hashimoto’s Disease) | Doctor
    https://patient.info/doctor/hashimotos-thyroiditis
    Slowed movement and loss of energy. […] Decreased sweating. […] Mild nerve deafness. […] Peripheral neuropathy. […] Menstrual irregularities (typically menorrhagia). […] Depression, dementia and memory loss. […] Hair loss from an autoimmune process. […] Eventually, thyroid atrophy and myxoedema may occur.
  • #2 Hashimoto Thyroiditis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459262/
    Hashimoto thyroiditis, also known as chronic autoimmune thyroiditis or chronic lymphocytic thyroiditis, is an autoimmune disease that leads to the destruction of thyroid follicular cells through immune-mediated processes. This autoimmune condition is the most common cause of hypothyroidism in developed countries and is characterized by the formation of antithyroid antibodies and T-cell activation, which result in progressive fibrosis of the thyroid gland. Individuals with Hashimoto thyroiditis present with varying thyroid function states, including euthyroidism, subclinical hypothyroidism, overt hypothyroidism, and, in some cases, transient hyperthyroidism. […] The presence of lymphocytic infiltration and fibrosis in the thyroid follicles are characteristic of Hashimoto thyroiditis. Both cellular (T-cell mediated) and humoral (B-cell mediated) immune responses have essential roles in the pathogenesis of this disorder.
  • #2 Hypothyroidism and Hashimoto’s Thyroiditis (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/hypothyroidism.html
    A person with mild hypothyroidism may feel just fine. In fact, it might cause no symptoms at all. […] But if thyroid hormone levels get too low, symptoms can become more obvious. These include: sluggishness, depression, dry skin or hair loss, feeling cold, muscle weakness, poor memory or trouble concentrating, constipation, facial puffiness, weight gain (even when not eating more or exercising less), slowed growth, slow sexual development, irregular menstrual periods in girls. […] Hashimoto’s thyroiditis is an ongoing condition in which the immune system attacks the thyroid. Some people have normal thyroid function for a while. But over time, the thyroid stops making enough thyroid hormone, causing hypothyroidism. The body responds by sending a message to the thyroid to work harder to make enough hormone.
  • #2 Become a member
    https://www.btf-thyroid.org/hashimotos-thyroiditis
    The most obvious symptoms of Hashimotos thyroiditis in children and young people can be slow growth and gaining too much weight even though they are eating healthily. […] There is a long list of symptoms and signs associated with hypothyroidism although not everyone will have all of them. These include: feeling tired and sleepy all the time, finding it hard to concentrate, feeling cold even in a warm place, dry and coarse hair, dry and thinning hair, a hoarse or croaky voice, muscle weakness, cramps and aches, pins and needles in the fingers and hands, a puffy face and bags under the eyes, slow speech, movement and thoughts, slow mood or depression, memory problems, a slow heart beat, slightly raised blood pressure, raised cholesterol, constipation. […] Your childs symptoms should diminish and disappear within three to six months of starting treatment with levothyroxine. In some cases, it may take longer to find the right level. If symptoms return you should arrange to see your childs GP.
  • #2 Thyroid disease in kids: What parents need to know | BC Children’s Hospital Research Institute
    https://bcchr.ca/news/thyroid-disease-kids-what-parents-need-know
    When hypothyroidism is diagnosed in infancy, its considered congenital. Hypothyroidism can also develop later in childhood or adolescence and is commonly caused by Hashimotos disease, an autoimmune disorder where immune cells mistakenly attack the thyroid, causing damage to the gland. […] Hashimotos thyroiditis is more common in girls about one in 300 girls and one in 1,000 boys are diagnosed with Hashimotos.
  • #2 Hashimoto’s Symptoms and Complications
    https://www.verywellhealth.com/hashimotos-disease-symptoms-3976273
    Though many people with Hashimoto’s have no obvious symptoms in the early stages, some may experience mild swelling at the front of the throat (goiter) caused by the direct inflammation of the gland. […] Hashimoto’s disease typically worsens slowly over many years and causes progressive damage to the thyroid gland, leading to a decline in the production of key thyroid hormones. […] Hashimoto’s eventually may cause the typical symptoms of hypothyroidism. The most common include fatigue, increased sensitivity to cold, constipation, pale and dry skin, a puffy face, brittle nails, hair loss (alopecia), enlargement of the tongue, unexplained weight gain despite no change in your diet, muscle aches (myalgia), joint pain (arthralgia), muscle weakness, heavy menstrual bleeding (previously called menorrhagia), irregular menstruation (oligomenorrhea), depression, lapses in memory („brain fog”), low sex drive, and growth delay in children.
  • #2 Hashimoto’s disease – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hashimotos-disease/diagnosis-treatment/drc-20351860
    A number of conditions may lead to the signs and symptoms of Hashimoto’s disease. If you’re experiencing any of these symptoms, your health care provider will conduct a thorough physical exam, review your medical history and ask questions about your symptoms. […] Usually in Hashimoto’s disease, the immune system produces an antibody to thyroid peroxidase (TPO), a protein that plays an important part in thyroid hormone production. Most people with Hashimoto’s disease will have TPO antibodies in their blood. […] The treatment goal is to restore and maintain adequate T-4 hormone levels and improve symptoms of hypothyroidism. You will need this treatment for the rest of your life. […] Because levothyroxine acts like natural T-4 in the body, there are generally no side effects as long as the treatment is resulting in „natural” levels of T-4 for your body.
  • #2 Hashimoto’s Disease | Endocrinology and Diabetes
    https://health.ucdavis.edu/conditions/hashimotos-disease
    If your thyroid hormone level becomes very low, you are at risk for a myxedema crisis, which is a medical emergency. […] Hashimotos disease happens when your immune system makes antibodies that destroy thyroid tissue. […] Hashimotos disease is more common in women. […] Your risk of developing Hashimotos disease increases as you get older. It is most common in middle age. […] If you have close family members with Hashimotos disease or other autoimmune diseases, your risk for Hashimotos disease is higher. […] The main treatment for Hashimotos disease is a synthetic (man-made) form of T4 thyroid hormone. The generic name of this drug is levothyroxine. You will need to take this medication every day for the rest of your life, but you may need adjustments to your dose over time.
  • #3 Hashimoto’s disease (Hashimoto’s thyroiditis) | healthdirect
    https://www.healthdirect.gov.au/hashimotos-disease
    Hashimoto’s disease, also known as Hashimotos thyroiditis, is an autoimmune condition. It usually causes hypothyroidism (low thyroid hormone levels in your body). Symptoms of hypothyroidism vary and can include fatigue, low mood and cold sensitivity. Hashimotos disease can slowly cause a lack of thyroid hormones, known as hypothyroidism. Your symptoms might be mild, or they might be severe. They can include: fatigue (tiredness), depression or low mood, weight gain, constipation, being unable to stand the cold, weakness, muscle pain. Other symptoms can be: dry, rough or cold skin, dry, brittle or thin hair, low libido, heavy or irregular periods, goitre, breathlessness, slow heart rate. Hashimotos disease can also cause poor concentration and poor memory. […] Hashimoto’s disease progresses very slowly over many years, so the symptoms may go unnoticed.
  • #3 Symptoms of Hashimoto’s Thyroiditis | Rose Wellness
    https://rosewellness.com/symptoms-of-hashimotos-thyroiditis/
    Hashimotos Thyroiditis is a chronic autoimmune disorder that progresses over several years. The damage to your thyroid gland causes reduced thyroid hormone in your blood. Initially, you may not experience any symptoms or signs; however, numerous symptoms can appear over time. Because individuals may not experience any symptoms or mild ones for several years, this disease can remain undiagnosed until a person either develops a goiter (enlarged thyroid gland) or has bloodwork drawn revealing abnormal thyroid testing. Symptoms are generally rooted in low thyroid hormone levels or pressure from an enlarged thyroid. […] The first sign of Hashimotos Thyroiditis is often a painless swelling of the thyroid gland, usually referred to as a goiter. The thyroid gland lies in the front of the neck, below the larynx. The enlargement (goiter) places pressure on the surrounding tissues, causing swallowing difficulties, breathing difficulties, and a raspy voice.
  • #3 Hashimoto’s Thyroiditis: Symptoms, Causes, and Treatment – Endocrinemds
    https://www.endocrinemds.com/blogs/hashimotos-thyroiditis-symptoms-causes-and-treatment/
    Symptoms may also manifest differently depending on the life stage of the individual. Children with Hashimotos may experience growth delays, while elderly patients may have more subtle symptoms like cognitive impairment or depression. […] In the early stages, some patients may experience a temporary period of hyperthyroidism (overactive thyroid) before progressing to hypothyroidism. Symptoms also tend to manifest differently in children versus adults, and older people may have more subtle presentations like cognitive impairment or depression. […] If left untreated, Hashimotos can lead to the development of a goiter (enlarged thyroid), cardiovascular problems, and mental health issues like depression.
  • #3 Hypothyroidism | Hashimoto’s Disease | MedlinePlus
    https://medlineplus.gov/hypothyroidism.html
    Hashimoto’s disease, an autoimmune disorder where your immune system attacks your thyroid. This is the most common cause. […] The symptoms of hypothyroidism can vary from person to person and may include: Fatigue, Weight gain, A puffy face, Trouble tolerating cold, Joint and muscle pain, Constipation, Dry skin, Dry, thinning hair, Decreased sweating, Heavy or irregular menstrual periods, Fertility problems in women, Depression, Slowed heart rate, Goiter, an enlarged thyroid that may cause your neck to look swollen. Sometimes it can cause trouble with breathing or swallowing. […] Because hypothyroidism develops slowly, many people don’t notice symptoms of the disease for months or even years.
  • #3
    https://healthmatch.io/hashimotos-disease/end-stage-hashimotos-thyroiditis
    Hashimoto’s thyroiditis is the most common cause of underactive thyroid, affecting thousands of people around the world. It is not curable, but most people with it can live completely normal lives with treatment. […] Hashimoto’s disease generally manifests with symptoms of hypothyroidism, which vary from person to person, but can include: Weight gain, Hair loss, Depression, Brain fog/mild cognitive impairment, Fatigue, Lack of tolerance for cold, Dry skin, Joint stiffness, Constipation, Irregular or heavy menstrual periods, Slowed heart rate, Thick or brittle nails. […] The majority of people with Hashimoto’s are diagnosed at this stage and have to immediately go on hormone replacement therapy. […] Hashimoto’s thyroiditis causes progressive damage to your thyroid and maintaining a healthy lifestyle can help the course of your condition. […] With appropriate treatment, the outlook for Hashimoto’s disease is good. Most people lead a normal life as long as they take their medication regularly.
  • #3 The 5 Stages of Hashimoto’s Thyroiditis – Dr. Izabella Wentz
    https://thyroidpharmacist.com/articles/5-stages-hashimotos-thyroiditis/
    In this early stage of Hashimotos, a person will usually have elevated thyroid antibodies. Up to 80-90 percent may show an elevation of thyroid antibodies in blood, when tested for thyroglobulin and thyroid peroxidase antibodies, respectively. […] Even in this stage, people may experience symptoms such as anxiety, fatigue, miscarriage/infertility, mood swings, excess weight, or weight loss, because their body is fighting hard to keep their thyroid levels normal, and this can be exhausting and draining on the usual body functions and nutrients. […] Sadly, at this stage, most patients are not diagnosed with Hashimotos by conventional medicine. […] The third stage of Hashimotos is known as subclinical hypothyroidism. […] In the world of conventional medicine, this stage is controversial in terms of treatment. Doctors may take a wait and watch approach, but if nothing is done, this is the stage where one would begin to experience more symptoms that will eventually progress to overt hypothyroidism.
  • #3 What Does a Hashimoto’s Attack Feel Like? 11 Signs You’re Experiencing One
    https://www.welltheory.com/resources/what-does-a-hashimotos-attack-feel-like
    Hashimotos disease is an autoimmune disorder in which the immune system flags the thyroid gland as an invader and attacks it accordingly. […] Hashimotos disease symptoms can present differently for everyone, but possible symptoms may include: goiter (thyroid swelling), fatigue and low energy levels, muscle weakness, joint pain, weight gain, constipation, mood disorders such as depression and anxiety, body temperature dysregulation, specifically cold intolerance, dry skin, brittle nails, hair loss, puffy face, rapid heart rate, sweating, weight loss, tremors, irregular menstrual bleeding. […] Symptoms of Hashimotos may not present for many years after disease onset, and then may progress slowly over time. […] A Hashimotos attack can be defined as a sudden and somewhat severe onset of symptoms.
  • #3 Thyroid Disease: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8541-thyroid-disease
    Conditions that can cause hypothyroidism include: […] Hashimotos disease: This is a lifelong (chronic) autoimmune condition that can cause an underactive thyroid. Its the most common cause of hypothyroidism in countries with widely available iodized salt and other iodine-enriched foods. […] Symptoms of hypothyroidism include: […] Feeling tired (fatigue). […] Unexplained weight gain. […] Feeling sensitive to cold. […] Dry skin and dry and coarse hair. […] Depressed mood. […] Heavy menstrual periods (menorrhagia). […] Thyroid diseases affect many parts of your body and health. If you consistently follow your treatment plan to manage the condition, its usually not serious. […] But if thyroid disease is undiagnosed or not treated properly, it can cause complications. […] Complications from untreated or undertreated hypothyroidism include:
  • #3 Hashimoto’s Thyroiditis: 22 Symptoms and Diet Information
    https://www.emedicinehealth.com/hashimotos_disease/article_em.htm
    Hashimoto’s thyroiditis (Hashimoto’s disease) is an autoimmune disease in which the body’s immune system attacks the thyroid gland. […] Symptoms of Hashimoto’s thyroiditis are numerous. Common symptoms include fatigue, mental fogginess, constipation, and dry skin. […] The signs and symptoms of Hashimoto’s thyroiditis are the same as those of hypothyroidism. The disease is slow to progress, and the onset of symptoms is gradual. It may take years for true hypothyroidism to develop. […] These signs and symptoms can increase in severity as the condition worsens. […] The complications of Hashimoto’s thyroiditis are the same as those of an underactive thyroid gland. […] However, if Hashimoto’s thyroid disease is not treated complications may occur, which will change the prognosis of Hashimoto’s thyroiditis disease, for example, heart disease, heart failure, hypercholesterolemia, and myxedema coma, which is life-threatening.
  • #3 Hashimoto’s disease
    https://www.ito-hospital.jp/english/02_thyroid_disease/02_5_1about_hashimoto.html
    Heart activity slows, resulting in a lower heart rate and weak pulse. If hypothyroidism is severe, fluid may accumulate in the sac covering the heart (pericardium), causing heart enlargement. […] […] People may become forgetful or inactive, lacking motivation and spirit to do things. Some people may experience drowsiness, difficulties speaking, and slowed speech. […] […] Muscles weakness and shoulder stiffness can grow severe. […] […] Heavy or prolonged menstrual bleeding can occur (menorrhagia). […] […] If thyroid function remains low during pregnancy, the risks of miscarriage and premature delivery increase. For safe pregnancy and childbirth, it is important to supplement thyroid hormones in advance so that thyroid hormone levels are normalized. […] […] Since thyroid hormones play an important role in fetal development and are provided from the mother through the placenta, demand for thyroid hormones during pregnancy than before. If patients wish to become pregnant, thyroid hormone replacement therapy may be started even if hormone levels are within the normal range.
  • #3 Hashimoto Thyroiditis – Endocrine and Metabolic Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/thyroid-disorders/hashimoto-thyroiditis
    Hashimoto thyroiditis is chronic autoimmune inflammation of the thyroid with lymphocytic infiltration. Findings include painless thyroid enlargement and symptoms of hypothyroidism. […] Many patients present with symptoms of hypothyroidism (eg, fatigue, cold intolerance, weight gain), but some present with hyperthyroidism (eg, heat intolerance, weight loss) that may be due to release of thyroid hormones during the inflammatory phase of thyroiditis or from co-existence of Graves disease and Hashimoto thyroiditis in the gland. […] Thyroxine (T4) and thyroid-stimulating hormone (TSH) levels initially are normal, but later, T4 declines and TSH rises, and patients may become clinically hypothyroid. […] Lifelong thyroid hormone replacement is typically needed.
  • #3 Progression of Hashimoto’s Thyroiditis to Graves’ Disease: a Report of Two Pediatric Cases
    https://www.ijthyroid.org/journal/view.html?volume=15&number=2&spage=125
    Graves disease and Hashimotos thyroiditis are the most common types of autoimmune thyroid disease. […] The development of Graves disease into Hashimotos thyroiditis is observed relatively often; however, the reverse is rare, especially in children. […] Both disorders are characterized by the presence of pathognomonic autoantibodies to thyroid antigens. […] Traditionally, GD and HT are considered to be two distinct AITD with different pathophysiologies. However, recent studies hypothesize that they constitute one continuous disease with opposite manifestations. […] Herein, we report two pediatric cases with a conversion from HT to GD. […] A 10-year-old girl had hypothyroidism for 3 years due to HT and had been taking levothyroxine (0.05 mg/day). Over the past month, she developed new-onset symptoms associated with hyperthyroidism, such as fatigue, goiter, and unintentional weight loss (approximately 3-4 kg/month).
  • #3 Thyroid disease in kids: What parents need to know | BC Children’s Hospital Research Institute
    https://bcchr.ca/news/thyroid-disease-kids-what-parents-need-know
    Hypothyroidism and hyperthyroidism are the most common thyroid disorders diagnosed in children, though hypothyroidism is the more common of the two. […] Hypothyroidism occurs when the thyroid gland does not produce enough thyroid hormone, and hyperthyroidism is when the thyroid produces too much. Both disorders can have a serious impact on kids health and can cause a myriad of symptoms. […] In hypothyroidism, the thyroid gland is underactive and is unable to produce and send enough thyroid hormone to the cells of the body, resulting in the bodys metabolism slowing down. There are many possible signs and symptoms of hypothyroidism for parents to look out for. […] Some of the common signs and symptoms of hypothyroidism in kids include: Brain fog and difficulty concentrating, Cold sensitivity, Constipation, Decreased growth rate, Delayed puberty, Depression, Dry, course, brittle hair and hair loss, Dry skin, Fatigue, Hoarse voice, Inactivity, Irregular menstrual periods, Muscle stiffness and pain, Puffy face, Weight gain.
  • #3 Hashimoto’s Symptoms and Complications
    https://www.verywellhealth.com/hashimotos-disease-symptoms-3976273
    Hashimoto’s symptoms don’t always appear immediately but as the disease progresses, it can cause permanent damage to the thyroid gland. In an effort to produce more thyroid hormone, the gland itself will start to enlarge, leading to the development of a goiter. […] The progressive metabolic disruptions and hormonal imbalances can begin to affect multiple organ systems, leading to a cascade of complications that extend well beyond the thyroid gland itself. […] Symptoms of Hashimoto’s disease include fatigue, hair loss, constipation, and sensitivity to cold temperatures. People with Hashimoto’s may also gain weight. […] Untreated Hashimoto’s can cause permanent damage to the thyroid gland. This can cause a goiter to develop. Other complications can include infertility, heart disorders, and pregnancy complications. In rare cases, swelling of the brain or coma can occur.
  • #4 Hashimoto Thyroiditis Clinical Presentation: History, Physical Examination
    https://emedicine.medscape.com/article/120937-clinical
    Hypothyroidism in Hashimoto thyroiditis is usually insidious in onset, with signs and symptoms slowly progressing over months to years. […] Patients most commonly present with nonspecific symptoms suggestive of overt hypothyroidism. Patients with long-standing, severe hypothyroidism could present in myxedema coma, precipitated by some major stress or infection. […] Common, early presenting symptoms of hypothyroidism, such as fatigue, constipation, dry skin, and weight gain, are nonspecific. […] Other symptoms of hypothyroidism include the following: Cold intolerance, Voice hoarseness and pressure symptoms in the neck from thyroid enlargement, Slowed movement and loss of energy, Decreased sweating, Mild nerve deafness, Peripheral neuropathy, Galactorrhea – This may occur because of the increased prolactin levels, Depression, dementia, and other psychiatric disturbances, Memory loss, Joint pains and muscle cramps, Hair loss from an autoimmune process directed against the hair follicles, Menstrual irregularities (typically menorrhagia, infertility, and loss of libido) – Increased prolactin secondary to increased thyrotropin-releasing hormone (TRH) leads to decreased luteinizing hormone (LH) and follicle-stimulating hormone (FSH) and to decreased response to gonadotropin-releasing hormone (GnRH); the result is anovulatory cycles with menstrual irregularities, Sleep apnea and daytime somnolence – Obstructive sleep apnea in hypothyroidism is thought to be partly caused by hypofunction of upper airway muscles and weakness of the diaphragm.
  • #4 The 5 Stages of Hashimoto’s Thyroiditis – Dr. Izabella Wentz
    https://thyroidpharmacist.com/articles/5-stages-hashimotos-thyroiditis/
    At this stage, the person has started to have thyroid gland failure. Their thyroid gland will be destroyed to the point where they will no longer be able to make their own thyroid hormone. […] Having Hashimotos puts a person at greater risk for developing other autoimmune conditions like celiac disease, psoriasis, Sjogrens, rheumatoid arthritis, lupus, multiple sclerosis, and many others. […] This is a progression of the autoimmune response as the immune system continues to be imbalanced, it may find additional glands and body tissues to attack, such as the small intestine in celiac disease, the saliva and tear glands in Sjogrens, and the joints in rheumatoid arthritis. […] However, they will only address the symptoms and not the root causes of the autoimmune disorder. […] It’s important to note here that autoimmune conditions do not always start with Hashimotos. It is thought that the first organ that becomes susceptible to autoimmune damage is the weakest link, where the person has a genetic predisposition or the organ has become damaged. […] Hashimotos is the most common autoimmune condition, but the thyroid gland is not always the weakest link for everyone. A person may start off with a different autoimmune condition, like celiac disease, and then progress to Hashimotos.
  • #4 Thyroid Disease: What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/8541-thyroid-disease
    Mood disorders, like depression. […] Increased risk of heart disease and heart failure. […] Myxedema coma, a sudden, life-threatening complication of severe hypothyroidism. […] A thyroid disease is often a lifelong medical condition that youll need to manage consistently. This often involves daily medication. Your healthcare provider will monitor your treatments and adjust them over time. […] If you have symptoms of hypothyroidism or hyperthyroidism or notice a change in your necks appearance where your thyroid is, see a healthcare provider. Its important to get a diagnosis and start treatment.
  • #4 Progression of Hashimoto’s Thyroiditis to Graves’ Disease: a Report of Two Pediatric Cases
    https://www.ijthyroid.org/journal/view.html?volume=15&number=2&spage=125
    She was diagnosed with GD, and treatment with propranolol (10 mg/day) and methimazole (MM) (10 mg, b.i.d.) was initiated. […] An 11-year-old girl had hypothyroidism for 2 months due to HT, for which she underwent levothyroxine replacement therapy (0.05 mg/day). […] After 2 months of follow-up, her thyroid hormone levels increased; the free T4 levels were 2.35 ng/dL (0.77-1.94), T3 levels were 2.40 ng/mL (0.75-1.9), and TSH levels were 0.07 IU/mL (0.3-4). […] She was diagnosed with GD 2 months after the detection of elevated thyroid hormone levels. […] Although rare, there is a possibility of transition to GD; thus, it is better to test TRAb titer for accurate diagnosis and timely treatment.